Observation on the long-term effect of continuity function exercise guidance on the recovery of upper limb functional activity in young patients after breast cancer breast-conserving surgery
延续性功能锻炼指导对年轻乳腺癌保乳术后上肢活动功能恢复的远期效果观察

摘要

目的 探讨延续性功能锻炼指导对年轻乳腺癌保乳术后患者上肢活动功能远期恢复的应用效果，为临床术后康复干预提供参考依据。方法 选取2025年1月-2025年7月我院收治的100例年轻乳腺癌保乳术患者为研究对象，采用随机数字表法分为观察组和对照组，各50例。对照组术后给予常规康复指导，观察组在常规指导基础上实施全程延续性功能锻炼指导。随访12个月，对比两组患者术后远期上肢关节活动度、上肢功能恢复优良率、康复锻炼依从性及术后并发症发生率。结果 随访12个月，观察组肩关节前屈、外展、内收、外旋活动度均显著大于对照组，差异有统计学意义（P<0.05）；观察组上肢功能恢复优良率为94.00%，明显高于对照组的78.00%（P<0.05）；观察组康复锻炼总依从率96.00%，高于对照组的82.00%（P<0.05）；观察组上肢水肿、关节僵硬、肢体麻木等并发症总发生率为6.00%，显著低于对照组的22.00%（P<0.05）。结论 针对年轻乳腺癌保乳术后患者实施延续性功能锻炼指导，可长期维持良好的上肢关节活动功能，提升康复依从性，降低远期并发症风险，改善患者术后生活质量，远期康复效果显著，值得临床推广应用。

Abstract

Objective To explore the application effect of continuity function exercise guidance on the long-term recovery of upper limb functional activity in young patients after breast cancer breast-conserving surgery, and to provide a reference basis for clinical postoperative rehabilitation intervention.
Methods A total of 100 young patients who underwent breast-conserving surgery in our hospital from January 2025 to July 2025 were selected as the research objects. They were divided into the observation group and the control group by random number table method, with 50 cases in each group. The control group was given routine rehabilitation guidance after surgery, while the observation group received continuous function exercise guidance in addition to the routine guidance. Follow-up was conducted for 12 months, and the postoperative long-term range of motion of the upper limb joints, the excellent rate of upper limb function recovery, the compliance of rehabilitation exercise, and the incidence of postoperative complications were compared between the two groups.
Results After 12 months of follow-up, the range of motion of the shoulder joint flexion, abduction, adduction, and external rotation in the observation group was significantly greater than that in the control group, and the difference was statistically significant (P < 0.05); the excellent rate of upper limb function recovery in the observation group was 94.00%, significantly higher than that of the control group (78.00%) (P < 0.05); the total compliance rate of rehabilitation exercise in the observation group was 96.00%, higher than that of the control group (82.00%) (P < 0.05); the total incidence of complications such as upper limb edema, joint stiffness, and limb numbness in the observation group was 6.00%, significantly lower than that of the control group (22.00%) (P < 0.05).
Conclusion   Implementing continuity function exercise guidance for young patients after breast cancer breast-conserving surgery can maintain good upper limb joint activity function for a long time, improve rehabilitation compliance, reduce the risk of long-term complications, improve the postoperative quality of life of patients, and the long-term rehabilitation effect is significant. It is worthy of clinical promotion and application.